摘要
目的：探讨医护协同管理方案在神经外科危重患者护理管理中的应用价值,为其临床应用提供可参考依据。方法选择2013年1月—2014年1月200例危重患者作为研究对象,采用随机数字法平均将研究对象分为观察组与对照组两组,分别给予医护协同管理方案与传统的护理管理方案。比较两种管理模式下护理质量、医护患对护理工作的满意度及护士的自我效能情况等。结果观察组病房管理、基础护理、专科护理、责任管理、交流沟通条目得分分别为（17.34±2.23）,（18.00±1.65）,（18.11±1.23）,（17.25±2.43）,（18.21±1.54）分,均高于对照组的（16.11±2.12）,（13.43±2.44）,（16.65±2.34）,（15.45±2.22）,（16.46±1.31）分,差异有统计学意义（t值分别为4.123,5.653,4.845,5.324,4.345；P〈0.05）。观察组医师、护理人员及患者的满意度分别为90.0%,96.7%,98.0%,明显高于对照组的50.0%,76.7%,92.5%,差异有统计学意义（χ^2值分别为3.810,5.192,6.687；P〈0.05）。观察组发生医护患矛盾4例（4.0%）,明显低于对照组的12例（12.0%）,差异有统计学意义（χ^2=4.348, P=0.037）。观察组护士积极性、责任心、自信心、沟通能力、解决问题能力得分及自我效能总分分别为（7.43±1.65）,（7.25±1.65）,（7.65±1.76）,（7.65±1.98）,（8.76±1.65）,（36.34±2.44）分,分别高于对照组的（5.55±1.65）,（5.34±1.65）,（5.54±1.56）,（5.87±1.87）,（5.87±1.43）,（30.54±3.34）分,差异有统计学意义（t值分别为4.542,5.545,4.765,4.234,6.065,4.534；P〈0.05）。结论医护协同管理有效改变了医护人员的服务理念,更好地执行以患者为中心的服务,且提高了医护工作的满意度,进一步提高了医疗护理服务质量。
Objective To explore the application value of collaborative mode in nursing management to cope with neurosurgical critical patients and provide evidence for clinical management. Methods A total of 200 critical patients had been divided into control group （ traditional nursing management ） and experimental group （ medical collaborative management） on average during January 2013 to 2014 by random number table. We compared the quality of nursing, satisfaction of medical staffs and patients, and nurse′s self-efficacy. Results The scores of ward management, basic nursing, specialized nursing, responsibility management, communication in the experimental group were （17. 34 ± 2. 23）, （18. 00 ± 1. 65）, （18. 11 ± 1. 23）, （17. 25 ± 2. 43）, （18. 21 ± 1. 54） compared with （16. 11 ± 2. 12）, （13. 43 ± 2. 44）, （16. 65 ± 2. 34）, （15. 45 ± 2.22）, （16.46 ±1.31） in the control group （t=4. 123, 5. 653, 4. 845, 5. 324, 4. 345,respectively;P〈0. 05）. The satisfaction scores of physicians, nurses and patients in the experimental group were 90. 0%, 96. 7%, 98. 0%, respectively while these rate in the control group were 50. 0%, 76. 7%, 92. 5% （χ^2 =3. 810, 5. 192, 6. 687; P 〈0. 05）. The incidence of medical contradiction in the experimental group was 4 cases （4. 0%） lower than 12 cases （12. 0%） in the control group. The difference was statistically significant （χ^2 =4. 348,P=0. 037）. The total score of nurses′ initiative, responsibility, self-confidence, communication skills, problem solving ability, self-efficacy were （7. 43 ± 1. 65）, （7. 25 ± 1. 65）, （7. 65 ± 1. 76）, （7. 65 ± 1. 98）, （8. 76 ± 1. 65）, （36. 34 ± 2. 44） respectively higher than those （5. 55 -1. 65）, （5. 34 ± 1. 65）,（5. 54 ± 1. 56）, （5. 87 ± 1. 87）, （5. 87 ± 1. 43）, （30. 54 ± 3. 34） in the control group. The difference was statistically significant （t = 4. 542, 5. 545, 4. 765, 4. 234, 6. 065, 4. 534,respectively; P 〈 0. 05）. Conclusions The medical collaborative mode not only meets the diversification of the patient′demands, builds a good relationship between the doctors, patients and nurses, but also improves the quality of nursing.
出处
《中华现代护理杂志》
2015年第4期468-471,共4页
Chinese Journal of Modern Nursing
基金
国家临床重点专科建设项目（2012-649）
关键词
神经外科
护理管理
医护协同管理
应用价值
Neurosurgery Department
Nursing management
Medical collaborative management
Application value
